Research Animal Use Risk Assessment Form
Assess the risks and oversight needs for your animal research activities.
Project Title or Identifier
*
Principal Investigator Name
*
Species of Animals Involved
*
Purpose of Animal Use
*
Level of Risk Associated with This Project
*
Low
Moderate
High
Potential Hazards (biological, chemical, physical, etc.)
*
Describe Mitigation Strategies
*
Oversight or Review Required
*
Institutional Animal Care and Use Committee (IACUC)
Biosafety Committee
No Additional Review Needed
Other
Overall Risk Rating
*
Minimal
1
2
3
4
Severe
5
1 is Minimal, 5 is Severe
Additional Comments or Notes
Submit Assessment
Should be Empty: